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sd-10-EFTA01314372Dept. of JusticeOtherEFTA Document EFTA01314372
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Dept. of Justice
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sd-10-EFTA01314372
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Summary
Invoice Number: 4-914-57565 Invoice Date: Oct 10.2003 Account Number: 2292.0750.4 Page: I o13 FectEx Tax ID: 71.0427007 NYSG LLC 457 MADISON AVE NEW YORK NY 10022-6843 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622-1147 M.F 7.6 (CST) Fax: (800) 548.3020 Internet: vnywiedex.corn Invoice Summary Oct 10, 2003 FedEx Express Services Transportation Charges 70.25 Base Descant -30.25 Special Handling Charges 1.40 Total Charges USD.S. 41.40 TOTAL THIS IN
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Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Invoice Number: 4-914-57565
Invoice Date:
Oct 10.2003
Account Number:
2292.0750.4
I o13
FectEx Tax ID: 71.0427007
NYSG LLC
457 MADISON AVE
NEW YORK NY 10022-6843
Invoice Questions?
Contact FedEx Revenue Services
Phone:
(800) 622-1147 M.F 7.6 (CST)
Fax:
(800) 548.3020
Internet:
vnywiedex.corn
Invoice Summary Oct 10, 2003
FedEx Express Services
Transportation Charges
70.25
Base Descant
-30.25
Special Handling Charges
1.40
Total Charges
USD.S.
41.40
TOTAL THIS INVOICE
LSD
41.40
You saved $30.25 in discounts this period!
IIIIIMIIIIIIIII
The FedEx Ground accounts referenced in this invoice have been transferred ard assigned lo. are aimed by. and are payable to FedEx Express.
To em.ro prow <mit pbaso (okra iris potion will your paymenlioFedEx.
Neale ea n supper kit Ploaso Malta 'Out Medi twat.. to FesEx-
n for Cvnpe etym. checkIwo eV cd, Velefca, onreverts side
Remittance Advice
Your payment Is due by Oct 25. 2003
2292075049145? 56519000004114005
SP 01 000001 97702 A 1 ASNGLP
NYSG LLC
457 MADISON AVE
NEW YORK NY 10O22-6843
Invoice
Number
Account
Number
Amount
Due
4.914.57585
2292.0750.4
USD $ 41.40
Hill
MIMI
FedEx
P.O. Box 371461
Pitlsburgh PA 15250.7461
CONFIDENTIAL
SDNY_GM_00341591
EFTA_002 14286
EFTA01314372
Invoice Number: 4-914-57565
Invoice Date:
Oct 10.2003
Account Number:
2202-0750-4
2 of 3
Adjustment Request
FAX TO (800) 548-3020
Tracking No..Airbill No.
Reason Code
Explanation
$FFORE YOU FAX
Please include detailed explanation for each adjustment request.
Remember to include recipient's account number or third panys
account number if applicable.
From:
Name
Business Phone
Date
Business Fax
REASON CODE KEY
Reason
Code
Description
DUP
Duplicate ildling
PND
Shipment Never Sent
RATE
Incorrect Rates or Pieces
RRA
Rebill Recipient Include
Reg:dents Account No.
RSA
Rebill Sender
RTA
Rebill Third Party include
Third Parry's Account No.
SUR
incorrect Surcharge -
Please Explain
OTHR
Other - Please Explain
This form cannot be used to request Invoice Adjustments due to Service Failures or lack of a POD.
To request adjustments for Service Failures or lack of a POD. please call 1.800-622-1147,
visit our Internet she at wonv.fedex.com or register for FIO.
FeJeral Exprvss
-
Please indicate change in address for the account x listed below:
r Physical Address 1-1 Billing Addis, E Naning Address
Account Number: 2292.07504
Name
Address
Apt., State:
CO:
State:
Bp:
Phone' I
Fax: I
Authorizing Signature:
CONFIDENTIAL
SDNY_GM_00341592
EFTA_002 14287
EFTA01314373
Invoice Number: 4-914-57565
!nye:co Date:
Oct 10. 2003
Account Nut.
2292-07504
30(3
FedEx Express Shipment Detail By Payer Type (Original)
Picked up: Oct 01, 2003
Payer: Shipper
Reference: NO REFERENCE INFORMATION
Fuel Suiting*. FOE, has apPlE0 a luelaufellalp 013.50% lo tNs shpment
Regulatory clearance delay.
Trading IO
8259132197727
Sender
NKOMO
Sere= Type FedEx Ind Priority
Package Type Fedex Envelope
Zone
M
Orig./Desl.
JRSSOF
Packages
I
War
0.5 OS
J. EPSTEN
NYSG LLC
45T MADISON AVE
NEW YORK NY 10022.6843 US
Transportation Cease
ICUWOIA G FUTINOVA
HADENDA 240CT
SA 235 BX B APT?'
SOEIA 331 BG
70.25
Oetvered
Oct 06. 2003 11:16
Fuel Surtharge
1.40
3gned by
GEOROIEva
Discount
-sags
Customs
Total Transportation Charges
USD S
41.40
Entry Oate
Oct 02.2003
Fedex Use
02494.1/301055
Shipment Detail Subtotal
USD S
41.40
CONFIDENTIAL
IIIIIIIIIMIIIII
SONY_GM_00341593
EFTA_002 14288
EFTA01314374
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